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Diet Rx: ________________________________________

Meal Plan

Food Group No. of CHO (g) CHON FAT ENERGY Meal Distribution
Exchanges (g) (g) (Kcal) BF L D Snack
AM PM MN
I. Vegetable

II. Fruit

III. Milk

Whole-fat
Low –fat

Non-fat/
Skim/ Fat-
free
IV. Rice A
Low-Protein

Rice B
Medium-
Protein
Rice C
High-Protein

V. Meat
Low-Fat

Medium-Fat

High-fat

VI. Fat

VII. Sugar

Total (g)

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